| NPI | 1639848468 |
|---|---|
| Former Name | ANALISA DOMINIQUE HERRERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA np9501830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996903) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-12-14 |